35-127 (3) a
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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 12,40 1974 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 2 7 V q h �� �a�1 '� Te rr, Lot No.
2. Owner's name r-d fl rt'r 6 ca i A' Address Ct 4;1( a.-, -P_ T r,-.,
3. Builder'snameesT��h �s-j /do Address G3 T ST- &yAR
Mass.Construction Supervisor's License No. D 3 Y G G Lj Expiration Date 1 2-3 /4 C.
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- �3 c ® U 0__e,
The undersigned certifies at the above statements are true to the best of his, her
knowledge and belief.
Signature of'res onsible appican!
Remarks yyy
00112 G ;,0
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Date Filed File No.
ZONING PERMIT APPLICATION (§10. 2)
1. Name of Applicant: cc-r`C
Address: EQ g Telephone:
2 . Owner of Property: n ►`f► er�qs
Address: 2.7 C mac( 7-rre, Telephone:
3 . Status of Applicant: Owner Contract Purchaser
Lessee Other (explain: C4L,l c'..1-ems )
4 . Parcel Identification: ��n� r.• �� - 9� S Parcel# 1Z? ,
Zoning Districts) (
Street Address U I
Required
5. ✓ t by Zonin
Use of Structure/Prc
(if project is only.
Building height -1-
%B1dg. Coverage (Foot
Setbacks - fron _ ---
- side L: R: L: R:
- rear
Lot size
Frontage
Floor Area Ratio
. %Open Space (Lot area minus
building and parking)
Parking Spaces
Loading
Signs
Fill (volume & location)
6 . Narrative Description of Proposed Work/Project: (Use additional sheets
if necessary) ��
7 . Attached Plans: Sketch Plan Site Plan
8. Certification: I hereby certify that the informati contained herein
is true and accurate to the best of my knowledge.
Date: IW-Z g Applicant's Signature:
r THIS SECTION FOR OFFICIAL USE ONLY: — — — r — r r
Approved as presented/based on information presented
Denied as presented--Reason:
Agna cial• Permit and/or Site Plan Required:
ding red: variance Required: ,
a of B c or -Date
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning roquiroments and obtain all required permits
from the Board of Health,Conservation Commission,Dopartmont of Public Works and other applicable pormit granting authorities.
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